| NPI | 1689956625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MOORE President/Owner 770-954-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |